EMPYEMA IN CHILDHOOD FOLLOWED ROENTGENOGRAPHICALLY: DECORTICATION SELDOM NEEDED

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Abstract
Twenty-three cases of empyema in patients under 16 years of age have been seen at the University of Arkansas Medical Center over an 8 year period. Twenty-one of these patients survived with antibiotic therapy coupled with various methods of chest drainage. Despite marked roentgenographic changes in each patient, decortication was performed only in i instance. In the other patients, the roentgenograms showed a return to normal and the children were clinically asymptomatic. It is important for the radiologist to be aware that the changes seen in empyema of children will almost always regress to normal without resorting to decortication.

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